Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. It’s an unfair business practice.”

Retirement 52

Retirement Outpatient Clinic Legal Issues Medicaid 52

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

HIPAA 105

HIPAA Self-Care Health Insurance Best Practices 105

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern.

Telemedicine 73

Telemedicine Medicaid Medicare Licensing 73

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). CMS is strengthening the Medicare Diabetes Prevention Program (MDPP) , which ANA supports.

APRN 73

APRN Medicare Long Term Care Medicaid 73

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. A study published in Value in Health on the cost of chronic wound care for Medicare beneficiaries revealed that nearly 15% of the patients (8.2 billion to $96.8

Education 10

Education Medicare Medicaid Business 10

Relias

NOVEMBER 4, 2021

A team of competent, compassionate, and qualified clinicians forms the backbone of every profitable home health business. Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. Capturing the higher Medicare reimbursement potential that PDGM provides for those conditions.

Medicare 52

Medicare Business Medicaid Professional Development 52

Relias

APRIL 18, 2022

Your business model revolves around competent clinicians, care quality, and reimbursements. When you invest in educating clinicians as wound care specialists, you can put your organization in a stronger business position by: Developing a team with clinical expertise in wound and ostomy care. Build Your Reputation as a Specialist.

Education 52

Education Medicare Promotion Medicaid 52

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Celayix

FEBRUARY 7, 2023

This can also lead to decreased business and reduced revenue. This is a huge issue for both patients, and business owners in home healthcare. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. One of the most common issues is late or missed home visits.

Home Healthcare 52

Home Healthcare Medicaid Business Medicare 52

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Documentation in the medical record.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

Daily Nurse

SEPTEMBER 12, 2023

So, whatever we do, we document it and get reimbursed. Healthcare is a business, and every business has to show a return on investment. You’ll get better reimbursement from Medicare, the big blues, and everybody else in insurance. healthcare sector and what we can do to overcome these issues? What is their output?

Nurse Shortage 126

Nurse Shortage Nurse Practitioner Education Travel Nursing 126

Healthcare Law Insights blog

NOVEMBER 10, 2023

The OIG suggests that understanding how funds flow through business arrangements and the varying incentives created by different types of funding structures is one of the best ways to identify fraud and abuse risks and is key to unearthing potential compliance issues, implementing effective monitoring, and identifying preventive strategies.

Leadership 59

Leadership Medicare Business Best Practices 59

Hospital Recruiting | Nursing

JANUARY 3, 2022

RVUs or Relative Value Units are part of the formula Medicare uses to quantify the complexity of work and expense a practice generates seeing patients. Every type of encounter is assigned an RVU value by Medicare. For those unfamiliar with the terminology, advanced practitioner Russell Singleton breaks down the concept of RVUs here.

Medicare 59

Medicare Malpractice Pharmaceutical Long Term Care 59

Relias

FEBRUARY 1, 2023

Some Medicare Advantage plans are denying authorization for hospitalization. This is happening even though clinical documentation supports medical necessity and the stay meets the ’2-midnight’ rule per CMS guidelines ,” said Jennifer Ward, CRCS, denial specialist supervisor for patient financial services revenue integrity at Sharp HealthCare.

Physician Office 10

Physician Office Medicare Retirement Education 10

American Nurse

JUNE 13, 2024

Certainly, the concept of advocacy is imbedded in the foundational documents of our profession. One example is local ordinance such as zoning law that prohibits certain kinds of businesses within a designated distance from a school. Examples include Medicare and the Patient Protection and Affordable Care Act of 2010.

Promotion 52

Promotion Medicare Health Outcomes Business 52

American Nurse

APRIL 2, 2024

School and business closures exacerbated food insecurity and income inequality. Waite called on nurses to remember that social justice is a core tenet of ANA foundational documents, including the Code and Scope and Standards of Practice. Henderson noted that the healthcare payment structure doesn’t encourage focus on SDOH.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

Relias

OCTOBER 10, 2022

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. That would be terrible for your reputation and would hurt your business. Audit coding and billing to ensure clinical documentation integrity.

Medicaid 52

Medicaid Medicare Self-Care Licensing 52

Scrubs

JUNE 21, 2023

22, three FDA inspectors arrived at the sprawling Intas Pharmaceuticals plant south of Ahmedabad, India, and found hundreds of trash bags full of shredded documents tossed into a garbage truck. Some are going out of business. Original Reporting by: Arthur Allen On Nov. Sardella and others have proposed government subsidies to get U.S.

Pharmaceutical 74

Pharmaceutical Medicaid Medicare Business 74